1.Insomnia, Pain, and Pain-Related Dysfunctional Beliefs about Sleep among Patients with Cancer
Seockhoon CHUNG ; Soobeen LEE ; Mohd. Ashik SHAHRIER ; Saebom JEON
Cancer Research and Treatment 2026;58(2):686-693
Purpose:
We explored the reliability and validity of the Pain-related Beliefs and Attitudes about Sleep (PBAS) scale among patients with cancer. Further, we compared the usability of the PBAS scale with that of the Cancer-related Dysfunctional Beliefs and Attitudes about Sleep-14 (C-DBAS-14) among patients with cancer.
Materials and Methods:
The medical records of 252 patients with cancer who visited the sleep clinic from August 1, 2023 to June 30, 2024 were retrospectively analyzed. The responses of the enrolled patients to the PBAS, C-DBAS-14, Insomnia Severity Index (ISI), and Numeric Rating Scale of pain were collected.
Results:
The internal consistency reliability of the PBAS scale was excellent (Cronbach’s alpha of 0.96). Confirmatory factor analysis showed that the two-factor structure of the PBAS for patients with cancer is a good fit for the model (Comparative Fit Index, 0.99; Tucker-Lewis Index, 0.99; root mean square error of approximation, 0.14; standardized root mean square residual, 0.05). The convergent validity of the Korean version of the PBAS in patients with cancer was good, as indicated by its significant association with pain severity (r=0.63, p < 0.001), C-DBAS-14 (r=0.33, p < 0.001), and ISI (r=0.21, p < 0.01). The PBAS adequately reflected an increase in pain severity and was more effective and appropriate for capturing pain-related dysfunctional sleep beliefs than the C-DBAS-14.
Conclusion
The Korean version of the PBAS showed high reliability and validity in patients with cancer, and applicability across cancer types and cancer-related beliefs.
2.Digital Media Usage Trends Among Children Aged 8–11 Years Before and After the COVID-19
Kyungjun KIM ; Saebom JEON ; Sangha LEE ; Donghee KIM ; Yunmi SHIN
Psychiatry Investigation 2025;22(4):375-381
Objective:
The coronavirus disease-2019 (COVID-19) pandemic has significantly altered daily life, potentially impacting children’s digital media usage. This study investigates changes in smart device usage among children in South Korea, considering the pandemic’s effects.
Methods:
A longitudinal analysis was conducted on a cohort of 313 children aged 8–11 years from 2018 to 2021. The study measured weekly usage of personal computers (PCs), tablet PCs, and smartphones, comparing pre-pandemic (up to 2020) and post-pandemic periods. Partial correlation analysis was employed to assess the impact of COVID-19, controlling for covariates such as age, household income, and parental education.
Results:
The analysis revealed a significant increase in smart device usage time following the onset of the pandemic. This increase remained statistically significant even after accounting for covariates. Notably, both age and maternal education level were significant factors influencing device usage.
Conclusion
This study demonstrates a significant shift in the digital behavior of children aged 8–11 in the context of the COVID-19 pandemic. The increase in smart device usage underscores the pandemic’s far-reaching impact on children’s daily routines and suggests a need for further research into its long-term effects. The findings highlight the importance of considering external societal changes when analyzing trends in digital media usage among children.
3.Digital Media Usage Trends Among Children Aged 8–11 Years Before and After the COVID-19
Kyungjun KIM ; Saebom JEON ; Sangha LEE ; Donghee KIM ; Yunmi SHIN
Psychiatry Investigation 2025;22(4):375-381
Objective:
The coronavirus disease-2019 (COVID-19) pandemic has significantly altered daily life, potentially impacting children’s digital media usage. This study investigates changes in smart device usage among children in South Korea, considering the pandemic’s effects.
Methods:
A longitudinal analysis was conducted on a cohort of 313 children aged 8–11 years from 2018 to 2021. The study measured weekly usage of personal computers (PCs), tablet PCs, and smartphones, comparing pre-pandemic (up to 2020) and post-pandemic periods. Partial correlation analysis was employed to assess the impact of COVID-19, controlling for covariates such as age, household income, and parental education.
Results:
The analysis revealed a significant increase in smart device usage time following the onset of the pandemic. This increase remained statistically significant even after accounting for covariates. Notably, both age and maternal education level were significant factors influencing device usage.
Conclusion
This study demonstrates a significant shift in the digital behavior of children aged 8–11 in the context of the COVID-19 pandemic. The increase in smart device usage underscores the pandemic’s far-reaching impact on children’s daily routines and suggests a need for further research into its long-term effects. The findings highlight the importance of considering external societal changes when analyzing trends in digital media usage among children.
4.Digital Media Usage Trends Among Children Aged 8–11 Years Before and After the COVID-19
Kyungjun KIM ; Saebom JEON ; Sangha LEE ; Donghee KIM ; Yunmi SHIN
Psychiatry Investigation 2025;22(4):375-381
Objective:
The coronavirus disease-2019 (COVID-19) pandemic has significantly altered daily life, potentially impacting children’s digital media usage. This study investigates changes in smart device usage among children in South Korea, considering the pandemic’s effects.
Methods:
A longitudinal analysis was conducted on a cohort of 313 children aged 8–11 years from 2018 to 2021. The study measured weekly usage of personal computers (PCs), tablet PCs, and smartphones, comparing pre-pandemic (up to 2020) and post-pandemic periods. Partial correlation analysis was employed to assess the impact of COVID-19, controlling for covariates such as age, household income, and parental education.
Results:
The analysis revealed a significant increase in smart device usage time following the onset of the pandemic. This increase remained statistically significant even after accounting for covariates. Notably, both age and maternal education level were significant factors influencing device usage.
Conclusion
This study demonstrates a significant shift in the digital behavior of children aged 8–11 in the context of the COVID-19 pandemic. The increase in smart device usage underscores the pandemic’s far-reaching impact on children’s daily routines and suggests a need for further research into its long-term effects. The findings highlight the importance of considering external societal changes when analyzing trends in digital media usage among children.
5.Digital Media Usage Trends Among Children Aged 8–11 Years Before and After the COVID-19
Kyungjun KIM ; Saebom JEON ; Sangha LEE ; Donghee KIM ; Yunmi SHIN
Psychiatry Investigation 2025;22(4):375-381
Objective:
The coronavirus disease-2019 (COVID-19) pandemic has significantly altered daily life, potentially impacting children’s digital media usage. This study investigates changes in smart device usage among children in South Korea, considering the pandemic’s effects.
Methods:
A longitudinal analysis was conducted on a cohort of 313 children aged 8–11 years from 2018 to 2021. The study measured weekly usage of personal computers (PCs), tablet PCs, and smartphones, comparing pre-pandemic (up to 2020) and post-pandemic periods. Partial correlation analysis was employed to assess the impact of COVID-19, controlling for covariates such as age, household income, and parental education.
Results:
The analysis revealed a significant increase in smart device usage time following the onset of the pandemic. This increase remained statistically significant even after accounting for covariates. Notably, both age and maternal education level were significant factors influencing device usage.
Conclusion
This study demonstrates a significant shift in the digital behavior of children aged 8–11 in the context of the COVID-19 pandemic. The increase in smart device usage underscores the pandemic’s far-reaching impact on children’s daily routines and suggests a need for further research into its long-term effects. The findings highlight the importance of considering external societal changes when analyzing trends in digital media usage among children.
6.Digital Media Usage Trends Among Children Aged 8–11 Years Before and After the COVID-19
Kyungjun KIM ; Saebom JEON ; Sangha LEE ; Donghee KIM ; Yunmi SHIN
Psychiatry Investigation 2025;22(4):375-381
Objective:
The coronavirus disease-2019 (COVID-19) pandemic has significantly altered daily life, potentially impacting children’s digital media usage. This study investigates changes in smart device usage among children in South Korea, considering the pandemic’s effects.
Methods:
A longitudinal analysis was conducted on a cohort of 313 children aged 8–11 years from 2018 to 2021. The study measured weekly usage of personal computers (PCs), tablet PCs, and smartphones, comparing pre-pandemic (up to 2020) and post-pandemic periods. Partial correlation analysis was employed to assess the impact of COVID-19, controlling for covariates such as age, household income, and parental education.
Results:
The analysis revealed a significant increase in smart device usage time following the onset of the pandemic. This increase remained statistically significant even after accounting for covariates. Notably, both age and maternal education level were significant factors influencing device usage.
Conclusion
This study demonstrates a significant shift in the digital behavior of children aged 8–11 in the context of the COVID-19 pandemic. The increase in smart device usage underscores the pandemic’s far-reaching impact on children’s daily routines and suggests a need for further research into its long-term effects. The findings highlight the importance of considering external societal changes when analyzing trends in digital media usage among children.

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